Travel Nurse RN - Case Manager, Utilization Review
Baltimore, MD
American Traveler
5x8 hrs, Days

Assignment Overview

• Shift: Days, 5x8hrs
• Hours: 40 hrs/wk
• Start Date: Aug 10, 2026
• Length: 8 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a remote Utilization Review position requiring at least 5 years of RN experience and current UR experience with InterQual criteria software.

Details

• Fully remote position with no on-site reporting required
• Monday through Friday schedule, 8:00 AM – 5:00 PM EST, with no weekends, holidays, or on-call responsibilities
• No direct patient care — this is a medical review role only
• Responsible for utilization review of health plan members across acute care, sub-acute, and acute rehabilitation settings
• Uses Epic and InterQual criteria software

Requirements

• Active RN license (Maryland or Compact) currently in hand
• Minimum 5 years of RN experience required
• Current utilization review (UR) experience required
• Epic experience required
• Proficiency with InterQual criteria software required
• Minimum 1 year of managed care utilization review experience preferred
• SSN and DOB required for consideration
• One professional reference required for consideration

Additional Information

• Monitors appropriateness of care for plan members in acute hospital, sub-acute, and acute rehabilitation settings
• Applies member benefit and medical criteria to authorize services in coordination with Medical Directors
• Proactively initiates discharge planning, including identification of post-discharge needs and coordination of referrals and services
• Communicates authorization and/or denial of covered services verbally and in writing with providers, facilities, and members
• Must maintain acceptable documentation and quality standards
• Strong verbal and written communication skills required to interact with enrollees, physicians, facility staff, and management
• Ability to negotiate and resolve conflicts with external customers
• Candidate must supply their own computer equipment — no equipment will be issued
• Local candidates are accepted at the same bill rate